Drop & Run Form

Drop & Run Form
Date ___________________ Consigner # _________________

Name _______________________________________

Address _____________________________________

E-mail Address_______________________________

Phone Number ______________________________

Total Number of Items:_______ you may attach an itemized list

Unaccepted Items - Select One

(____) 　 I will pick up my unaccepted items between the following dates

_______ / _____ / ______ -- _______ / _______ / _______

(7-14 Days from Dropped Off)

(____)　　　 I choose to donate items not accepted (tax receipt available)

　
End of Consignment Period - Select One

(____) I choose to pick up these items after the consignment period

_______ / _______ / _______

(90 Days From Dropped Off – Must Call or E-Mail to Have Items Pulled)

(____) I choose to donate these items after the consignment period

I have read and agree to the terms set forth in Encore’s “Consignment Agreement” explaining pricing, markdowns and Encore’s liability of items consigned.
　　　　　　　　　　

　Signed________________________________________________